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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37844/psn-pdf
    June 18, 2008 - Effect of ACGME duty hours on attending physician teaching and satisfaction. June 18, 2008 Arora V, Meltzer DO. Effect of ACGME duty hours on attending physician teaching and satisfaction. Arch Intern Med. 2008;168(11):1226-8. doi:10.1001/archinte.168.11.1226. https://psnet.ahrq.gov/issue/effect-acgme-duty-hours-a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40906/psn-pdf
    November 16, 2011 - What is the value and impact of quality and safety teams? A scoping review. November 16, 2011 White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97. https://psnet.ahrq.gov/issue/what-value-and-impact-q…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39344/psn-pdf
    March 03, 2010 - Mistake-proofing healthcare: why stopping processes may be a good start. March 3, 2010 Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopp…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35452/psn-pdf
    January 05, 2017 - Deploying Six Sigma in a health care system as a work in progress. January 5, 2017 Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13. https://psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-wor…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42906/psn-pdf
    February 27, 2014 - From heroism to safe design: leveraging technology. February 27, 2014 Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127. https://psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology This commentar…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38171/psn-pdf
    June 29, 2009 - An educational and audit tool to reduce prescribing error in intensive care. June 29, 2009 Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242. https://psnet.ahrq.gov/issue/educationa…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43233/psn-pdf
    June 17, 2014 - Quality and safety education for nurses: a nursing leadership skills exercise. June 17, 2014 Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40500/psn-pdf
    June 01, 2011 - Meaningful use and certification of health information technology: what about safety? June 1, 2011 Hoffman S, Podgurski A. Meaningful use and certification of health information technology: what about safety? J Law Med Ethics. 2011;39(suppl 1):77-80. doi:10.1111/j.1748-720X.2011.00572.x. https://psnet.ahrq.gov/iss…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45084/psn-pdf
    April 27, 2016 - Nurses say stress interferes with caring for their patients. April 27, 2016 Yu A. Health Shots. National Public Radio. April 15, 2016. https://psnet.ahrq.gov/issue/nurses-say-stress-interferes-caring-their-patients Many health care professionals exhibit symptoms of burnout, which may impair their ability to maintai…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36636/psn-pdf
    January 14, 2011 - Nursing home administrators' opinions of the resident safety culture in nursing homes. January 14, 2011 Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety culture in nursing homes. Health Care Manage Rev. 2007;32(1):66-76. https://psnet.ahrq.gov/issue/nursing-home-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36542/psn-pdf
    August 06, 2008 - Pediatric rapid response teams in the academic medical center. August 6, 2008 Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010. https://psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37788/psn-pdf
    May 28, 2008 - Durable improvements in efficiency, safety, and satisfaction in the operating room. May 28, 2008 Heslin MJ, Doster BE, Daily SL, et al. Durable improvements in efficiency, safety, and satisfaction in the operating room. J Am Coll Surg. 2008;206(5):1083-9; discussion 1089-90. doi:10.1016/j.jamcollsurg.2008.02.006. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38967/psn-pdf
    June 09, 2011 - Eight rights of safe electronic health record use. June 9, 2011 Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3. doi:10.1001/jama.2009.1311. https://psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use Incorporating human factors engineering models, t…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42195/psn-pdf
    October 08, 2013 - Medication errors in the management of anaphylaxis in a pediatric emergency department. October 8, 2013 Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jemermed.2012.11.069. https://psnet.a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41075/psn-pdf
    January 18, 2012 - Wide heart monitor use tied to missed alarms. January 18, 2012 Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use of the Latest Standards for Electrocardiography trial. J…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42826/psn-pdf
    December 18, 2013 - Improvement of medication event interventions through use of an electronic database. December 18, 2013 Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajhp130021. https://psnet.ahrq.gov…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47280/psn-pdf
    October 15, 2018 - Master of Healthcare Quality and Safety. October 15, 2018 Harvard Medical School. https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety This one-year degree program will train clinicians and health care executives to lead safety and quality improvement initiatives. Participants will learn how to develo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35395/psn-pdf
    September 10, 2009 - Toward a theoretical approach to medical error reporting system research and design. September 10, 2009 Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system research and design. Appl Ergon. 2006;37(3):283-95. https://psnet.ahrq.gov/issue/toward-theoretical-approa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34601/psn-pdf
    January 26, 2009 - Strategies and tips for maximizing failure mode and effect analysis in your organization. January 26, 2009 Chicago, IL: American Society of Healthcare Risk Management; 2002. https://psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your- organization The implementation and appli…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43216/psn-pdf
    June 25, 2014 - Banning the handshake from the health care setting. June 25, 2014 Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8. https://psnet.ahrq.gov/issue/banning-handshake-health-care-setting Hand hygiene is an important practice that prevents transmissi…

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